Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miss. Samantha Lauren Penedos, LPC, ATR

Individual provider Professional Counselor · NPI 1659952604

Miss. Samantha Lauren Penedos, LPC, ATR is a Mental Health Counselor in Greentown, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Thaxton Holistic Wellness Center, a 22-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

177 Timber Trl
Greentown, PA 18426-2552
Phone: (610) 823-3185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC013187 (PA)

Record details

NPI number1659952604
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , ATR
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Thaxton Holistic Wellness Center — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Colleagues at Thaxton Holistic Wellness Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 22 clinicians in the practice; 12 are shown here.